title: Vaginal birth after caesarean section (VBAC) in women with spontaneous labour: predictors of success.
abstract: We evaluated the predictors of VBAC success in Jordanian women with a single previous low transverse caesarean section of a gestational age of at least 28 weeks, followed by a trial of spontaneous labour at two tertiary hospitals between January 2008 and February 2010. Among 207 women, 117 (57%) women achieved a successful VBAC. Multivariate analysis showed that a cervical dilatation of ≥ 7 cm at the time of previous caesarean section was an independent predictor of successful VBAC (with a success rate of 80%). Parity of ≥ 2 was significantly associated with increased odds of success (OR = 2.7, 95% CI: 1.2, 6.2). Compared with women who had no previous VBAC, those with previous VBAC had higher odds of success (OR = 3.8 (95% CI: 1.5, 9.5). We concluded that women with a previous caesarean section who achieved a cervical dilatation of ≥ 7 cm before caesarean, had a previous history of successful VBAC and had parity of ≥ 2, have the greatest likelihood of successful VBAC.
authors.affiliation: Department of Obstetrics and Gynecology, King Abdullah University Hospital, Jordan University of Science and Technology (JUST), Irbid, Jordan. naobeidat@just.edu.jo
authors.forename: N
authors.initials: N
authors.lastname: Obeidat
authors.forename: Z B
authors.initials: ZB
authors.lastname: Meri
authors.forename: M
authors.initials: M
authors.lastname: Obeidat
authors.forename: Y
authors.initials: Y
authors.lastname: Khader
authors.forename: M
authors.initials: M
authors.lastname: Al-Khateeb
authors.forename: F
authors.initials: F
authors.lastname: Zayed
authors.forename: H
authors.initials: H
authors.lastname: Alchalabi
authors.forename: W
authors.initials: W
authors.lastname: Kriesat
authors.forename: I
authors.initials: I
authors.lastname: Lataifeh
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007597:Jordan; D007747:Labor Stage, First; D011247:Pregnancy; D012189:Retrospective Studies; D016064:Vaginal Birth after Cesarean / Q000706:statistics & numerical data*; D055815:Young Adult